This page provides a summary of how to use the South Tyneside Safeguarding Adults Board Adult Policies, Procedures and Practice (APPP) site.


Finding your way around this Resource

This site is structured into different sections.

This site is divided into different sections. On the home page there are four tiles:

When you are in the Safeguarding Adults Procedures section, there are a number of tabs on the left side of the screen when viewed on larger screens or by clicking on the lined box in the top right corner on smaller screens (such as phones or tablets):

  • Using this APPP Resource gives information about using this site, and Register with Us to receive notification when this APPP is updated;
  • Contents contains the policies, procedures and practice guidance chapters. These are divided into sections which can be viewed by clicking on the arrow on the right of ‘Contents’;
  • Resources provides a range of relevant supporting information. The different sections can also be viewed by clicking on the arrow on the right of ‘Resources’;
  • Contact has a contact form for you to send a message to the Safeguarding Adults Board if you have a comment or suggestion you wish to make.

Accessibility Options

This portal has a number of different options to aid online reading. Using the ‘Accessibility’ drop-down menu on the left-side of the screen, you can change to green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting.

You can also resize the website by pressing CTRL and + together to make the site larger, you can keep pressing this to increase the zoom level. Pressing CTRL and – together makes the site smaller. This is a feature built into your web browser, known as in-browser zooming, and so depending on the browser you’re using the controls may be different.

In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed through screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.

Using the APPP Resource on Smartphones and Tablets

This resource works well on smartphones and tablets by typing in the weblink in the internet address bar. When used on a smartphone, the APPP will immediately convert into a mobile friendly version..

Adding Shortcuts to the APPP

You can easily access the APPP by installing a shortcut on your device, which will directly open up your internet browser to the APPP portal. You can do so using the following methods:

  • on desktop / laptops: go to the homepage of the APPP portal website in your internet browser, then bookmark it using your browser’s bookmark feature. Open your browser’s list of bookmarked websites and drag the APPP bookmark onto the desktop of your device.
  • on smartphones / tablets : go to the homepage of the APPP portal website in your internet browser, and do the following:
    • On Android devices – click the three dots, and select ‘add to home screen‘.
    • On iOS / Apple – click the share icon Apple share icon, scroll down the page and select ‘add to home screen


The Resources section contains a number of links and documents to supplement the information in the chapters. It includes

  • Case Law and LGSCO Reports – information about recent significant court cases and key complaint investigation reports from the Local Government and Social Care Ombudsman;
  • Case Studies – populated by case studies from the Care and Support Statutory Guidance;
  • CQC Single Assessment Framework – information about the single assessment framework which the CQC will use to inspect providers, local authorities and integrated care systems;
  • Easy Reads – links to easy read information for people with care and support needs;
  • Safeguarding Adults Forms, Leaflets and Posters – forms which can be used to access support and share information, as well as materials to raise awareness of safeguarding adults issues.
  • Glossary – definitions and key terms used;
  • Legislation – links to relevant legislation;
  • National Guidance and Inquiries – links to national guidance, particularly from ADASS, LGA and SCIE and inquiry reports;
  • Organisations – links to websites for relevant national organisations;
  • Provider Resources – links to guidance and other information and national organisations who provide services and support to provider services;
  • Research and Report Briefings – written by the Policy Partners Project and our associates to reflect current issues or recently released research reports;
  • Safeguarding Adults Review Reports – links to significant SARs.


If you want to make any changes to any chapters or write a new chapter, please first contact Jackie Nolan, Business Manager, who is the local contact for this APPP, to discuss your ideas.

With each revised edition of this APPP, we indicate which chapters are new or have been updated. This information is available in the table below and at the top of each relevant chapter. Where chapters have had specific sections amended, this will be detailed. If there are a number of changes throughout the chapter, it will state that the chapter should be re-read.

July 2024

Updated Chapter Detail
Adults Vulnerable to Exposure to Extremist Ideology An updated Prevent referral form – which should be used to share concerns and make a referral to the Prevent Team – has been added.

June 2024

New Chapters Detail
 Complex Adult Risk Management (CARM) Policy The CARM Process has been developed to help safeguarding adults partners manage complex risks. Such risks may arise within specific circumstances when working with adults who have the mental capacity to make decisions for themselves, but who are at risk of serious harm or death through:

  • Self-neglect (Care Act 2014);
  • Behaviours that place them at risk/chaotic lifestyles; or
  • Lack of engagement with services.
Complex Adult Risk Management (CARM) Practice Guidance The CARM practice guidance contains detailed information on the process for making a CARM Referral and the format which will be used during a CARM meeting, including how the meetings will be held and the way risk will be discussed, assessed and managed.
Safeguarding Adults Forms, Leaflets and Posters Templates and other supporting documents for use throughout the CARM process have been added.
Safeguarding Adult Reviews (SARs) The South Tyneside Safeguarding Adult Review (SAR) Protocol has replaced with an updated version.

April 2024

Amended Chapters Detail
County Lines: Criminal Exploitation of Adults This chapter which provides information on how to spot signs that an adult with care and support needs is being exploited and what action to take if you have concerns, has been updated throughout.
Cuckooing This section has been updated throughout to reflect the latest Home Office County Lines guidance.
Modern Slavery The updated Modern Slavery, Trafficking and Exploitation (MSTE) Response Plan (2023-26) has been added. The response plan aims to provide a framework that provides a multi-agency approach to supporting people who have been subject to slavery, trafficking and exploitation.
Pressure Ulcers: Safeguarding Adults Protocol The protocol has been updated throughout to reflect the revised Department of Health and Social Pressure ulcers protocol and guidance. Information on the Pressure Ulcer Review Process (PURP) used by staff within the South Tyneside and Sunderland NHS Foundation Trust has also been added.
Escalation and Challenge Protocol The protocol has been reviewed and terminology updated to reflect that it is a joint protocol across Children’s and Adults safeguarding.
New Chapters Detail
Professional Curiosity This new chapter explains why it is important for practitioners to be professionally curious when working with adults who may be experiencing abuse or neglect. It covers what professional curiosity is, and provides examples of ways in which practitioners and show professional curiosity

March 2024

Amended Chapter Detail
Adults Vulnerable to Exposure to Extremist Ideology A link to the updated Prevent referral form which should be used to share concerns and make a referral to the Prevent Team has been added. An updated summary of the process practitioners should follow when they have concerns about the possible radicalisation of a child or adult has also been added.

February 2024

Amended Chapter Detail
South Tyneside Safeguarding Adults Thresholds Guidance Tool The guidance tool – which has been reviewed and updated throughout –  supports practitioners, partners and providers, working within the adult sector, to report and respond to concerns at the appropriate level and to have a consistency of approach across agencies.

The guidance should be used to:

  • Help determine a consistent approach to identifying what concerns may require a response under the safeguarding process.
  • Support decision making when alternative processes should be used.

January 2024

Amended Chapter Detail
Pressure Areas and Safeguarding A link to the revised Department of Health and Social Care protocol for safeguarding adults with pressure ulcers has been added.

November 2023

Amended Chapter Detail
Adults who go Missing A link to the updated Northumbria Missing Adults Protocol has been added.
Forced Marriage This chapter has been reviewed and extensively updated to reflect the latest version of the multi agency Forced Marriage Statutory Guidance and multi agency practice guidelines.
Self Neglect Guidance The Self Neglect Guidance for Multi Agency Partners has been completely updated. It explains actions staff can take to support a person who is self-neglecting or hoarding.
Mental Capacity A new section 4.2 has been added explaining the causative nexus, which seeks to ensure than when a person is assessed as being able unable to make a decision under the Mental Capacity Act, this is because of their impairment of, or a disturbance in the functioning of, their mind or brain.
Planning Ahead for Health and Social Care Decisions A new section 1, Advance Care Planning, has been added to reflect guidance contained in ‘Universal principles for advance care planning’ which was published in response to the Care Quality Commission report ‘Protect, Connect, Respect – decisions about living and dying well’
New Chapter Detail
Historic (Non Recent) Allegations of Abuse (including Sexual Abuse) This chapter, which contains information for practitioners on the action to take if an adult discloses abuse they experienced in the past, is new. It includes advice on how to support the adult concerned.
Safeguarding Adults and Culturally Competent Practice This new chapter highlights the importance of recognising and trying to understand people’s cultural identities when working to safeguard them and promote their needs.

May 2023

Amended Chapter Detail
Safeguarding: What is it, and Why does it Matter? This chapter has been reviewed and updated throughout.
Adults who go Missing A link to the Northumbria Police Hostel Policy has been added. The policy explains the process Northumbria Police will use to assess the most appropriate course of action when a person is reported missing from a hostel.  It explains the 8 criteria which will be used to determine whether or not the incident should be closed.
Female Genital Mutilation (FGM) This guidance has been rewritten to reflect the latest statutory guidance.
Self Neglect and Hoarding Information has been added on the process for requesting a Safe and Well Visit from Tyne and West Fire and Rescue Service. The visit will identify any fire and lifestyle associated hazards in the home.
Deprivation of Liberty Safeguards (DoLS) This guidance has been reviewed and updated.
Working with Autistic Adults This chapter has been reviewed and updated to include information on the Oliver McGowan Mandatory Training on Learning Disability and Autism.
South Tyneside Safeguarding Children and Adults Partnership Strategic Plan The updated Strategic Plan provides an overview of local safeguarding arrangements and sets out the strategic priority areas of focus for 2021-2024.
New Chapter Detail
Health and Wellbeing of Staff This new chapter is taken from Health and Wellbeing of the Adult Social Care Workforce published by the Department of Health and Social Care. It includes advice and links to other information that employers and managers can use to help build the resilience of their team and address any concerns their staff may have.

Date of Next Revision

This APPP is usually updated every six months, although there may be more frequent changes made as required. Please ensure you are Registered with Us to receive update notifications.


Type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter.

To make sure the search results more accurately reflect what you are looking for, you can add inverted commas (also known as speech marks) to the word or term you are looking for, for example “safeguarding” or “adult safeguarding”.

If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.

Register for APPP Update Notifications

We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.


This resource has been designed to be used online. If you print a chapter, for example to take to a meeting, please note it is valid for 72 hours only from the date it was printed. Whilst APPP resources are usually updated every six months, there may be occasions when they are updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. This is why we recommend that if you have to print a chapter, you no longer refer to it after that time.

Please remember that the resource can be also accessed on smartphones and tablets (see Using the APPP Resource on Smartphones and Tablets).


The chapter content in this resource can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Policy Partners Project Ltd.

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